National Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Bldg 3 Rm 5E11, Bethesda, MD 90892, United States.
Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 6710B Rockledge Dr., Room 3139D, MSC 7004, Bethesda, MD 20892, United States.
Drug Alcohol Depend. 2022 Apr 1;233:109360. doi: 10.1016/j.drugalcdep.2022.109360. Epub 2022 Feb 17.
Educational attainment is a social determinant of health associated with better quality of life and health outcomes. Current understanding of the association between adolescent smoking and college completion is limited. This study examined the association between adolescent smoking and subsequent college completion and how it varied by parent education in a longitudinal study of U.S. adolescents followed into young adulthood.
Data were collected annually from a nationally representative cohort of 10th graders who participated in the NEXT Generation Health Study (2009 -2017; N = 1407). Participants reported if they smoked during 10th-12th grades (2009-2013). Self-report college completion was assessed in 2017. Parent reported their educational attainment at baseline. Weighted logistic regression models were used to assess the association between adolescent smoking during 10th-12th grades and subsequent college completion in the entire sample and stratified by parent educational attainment, adjusting for demographics, depressive symptoms, alcohol use, and parental monitoring.
Overall, adolescents who smoked during 10th-12th grade had lower odds of subsequently completing college compared to those who did not smoke (AOR=0.33, 95%CI=0.20-0.57). This association was stronger among those whose parents had ≤high school education (AOR=0.08, 95% CI=0.02-0.31) and some college education (AOR=0.18, 95%CI=0.08-0.39).
Adolescents from lower educational attainment households showed disproportionately stronger association between adolescent smoking and subsequent college completion. Future research needs to determine whether and how strategies to reduce adolescent smoking may promote educational attainment especially among adolescents whose parents have less than a college education.
教育程度是与生活质量和健康结果相关的健康决定因素。目前对于青少年吸烟与完成大学学业之间的关联了解有限。本研究通过一项对美国青少年进行的纵向研究，考察了青少年吸烟与随后完成大学学业之间的关联，以及这种关联在多大程度上因父母教育程度而异。
数据来自于参加下一代健康研究（2009-2017 年；N=1407）的全国代表性 10 年级队列的年度收集。参与者报告他们在 10-12 年级期间是否吸烟（2009-2013 年）。2017 年评估自我报告的大学完成情况。父母在基线时报告其教育程度。使用加权逻辑回归模型评估整个样本中青少年在 10-12 年级期间吸烟与随后完成大学学业之间的关联，并按父母教育程度进行分层，调整人口统计学、抑郁症状、饮酒和父母监督。
总体而言，与不吸烟的青少年相比，在 10-12 年级吸烟的青少年随后完成大学学业的可能性较低（AOR=0.33，95%CI=0.20-0.57）。这种关联在父母教育程度较低的人群中更强，包括仅接受高中教育（AOR=0.08，95%CI=0.02-0.31）和一些大学教育（AOR=0.18，95%CI=0.08-0.39）的人群。
来自教育程度较低的家庭的青少年吸烟与随后完成大学学业之间的关联更为强烈。未来的研究需要确定是否以及如何减少青少年吸烟的策略可以促进教育程度的提高，特别是在父母受教育程度低于大学的青少年中。
